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<br />IlriFeb"'" <br />dep.rlmoht <br />01 '1NIlnUO <br />LIlln 5,,11' Number <br /> <br />01111 <br /> <br />Notice of State Tax Lien <br /> <br />Lion Tvpo <br />iJ Orl'.llnal <br />o Ranowoll <br />CDunty <br /> <br />11-211-88 <br /> <br />. R." InllruC1!nnl on nva..,. .Id. <br />SQclal Sleurlty Numb... <br /> <br />88- 106612 <br /> <br />8 12 SB5 <br /> <br />Lien FUoa With Spou,." Socl.1 Slcurltv <br />!Xl Roglster of Olladl Number <br />Ha 11 0 County Clerk <br />BUSINESS NAME AND LOCATION ADDRf;SS <br /> <br />Nllbr.,k. I,D. No. <br /> <br />5055571 <br /> <br />BUllMan N.me <br /> <br />Strlllll Adtlrou <br /> <br />Cltv <br /> <br />Stllte <br /> <br />Zip CODIl <br /> <br />TAXPAYER NAME AND MAILING ADDRESS <br /> <br /> <br />This Notic~ of State Tax Lien is issued by the Nebraska Deparbncnt of Revenue for unpaid taxes pursuant to the <br />revenue laws of the stale of Nebraska. Notice is hereby gi\l'en thai taxes including penalties and interest, which are <br />shown below. are due from the taxpayer specified above and remain unpaid aftee demalld. These tnxes constitute <br />a lien in the county for real and personal property belonging to the taxpayer or hereafter acquired. <br /> <br />T.. <br />Cat"llorv <br />Number <br /> <br />Date or <br />Assescment <br /> <br />Amount of Tax <br /> <br />Tax Period <br /> <br /> <br />04-01-88 thru <br /> <br /> <br />Penalty <br /> <br />Interest <br /> <br />Additions <br /> <br />Balance of <br />As5essmllnt Due <br /> <br /> <br />7q R~ <br /> <br />TOTAL <br /> <br />s <br /> <br />4 931 91 <br /> <br />I hereb~ c:ertif)' that the Nebrllsk<l Department of Revenue has c:ompllea wun the rev"nue liIIWS of the Stale of N.braska In the del"r- <br />mlnatlon of mount sho to bo due. and the tllxpa)'er has falll:ld to PII~ the amount duo .litter dem.nd. If this NDtlce of State Tax <br />Lien Is an nslon 01 an €life live lien it ~es .Unlinue the priority of the state's Interest In the .ffected property of the taxpayer. _ <br />, Taxpaver Serv;c<> Soec;a1ist / ~.2r-d.J- <br />R:~:nUe Aqent SUDerV;SOr /,;}. ,;7-8 r <br />Dille <br /> <br />FOR COUNTY OFFICIAL'S USE <br /> <br />NEBRASKA DEPARTMENT OF REVENUE - White and Goldlnrod Copiel <br /> <br />TAXPAYER - Pink Copy <br /> <br />COUNTY OFFICE - Canary Copy <br /> <br />'11IB A'ft'ACIIBD NOTICE (S) OF TAX LIl!2I (OR TI!RIlINATION) IS (ARE) TO BE FILED ONLY WITH <br />'11IB REGISTER OF DEEDS. <br /> <br />'11IB DOC1lIIEIIT(!l) IS' (ARE) ~ TO BE FOllI'/AIlDED TO :rHEI COUNT!" CLERK. <br /> <br />DISTRIBUTION OF COPIES, <br /> <br />.!!!!!!!' TO BE VALIDATED BY TIlE REGISTER OF DEEDS llND RETURNED TO TIlE <br />DEPAR'.l'ME!lT n" RF.\TF.NII",. <br /> <br />GOLDl!2IRllIl: TO BE KEPT BY TIlE REGISTER OF DEEDS <br /> <br />BILLING IS TO BE ONCE PER IlONTII llND THERE lIILL BE NO PRE-PAYMENT OF FEES. <br /> <br />THllNlt you FOR YOUR COOPERATION. <br /> <br />-; <br />